Burhanettin Kaya

Psychiatric disorders and large interdialytic weight gain in patients on chronic haemodialysis

Aims:  Psychiatric disorders have been considered in terms of non‐compliant behaviour and low life quality in haemodialysis patients. The aim of this study is to investigate the potential association of psychiatric disorders with compliance of fluid restriction and nutritional status and to measure the effects of psychiatric disorders on the life quality in chronic renal failure patients on haemodialysis.

Anxiety, depression and sexual dysfunction in women with chronic pelvic pain

Abstract In this article we compared healthy women with women having chronic pelvic pain (CPP) for the levels of depression, anxiety, and sexual dysfunction. A cross-sectional survey was conducted in the Obstetrics and Gynecology Outpatient Clinic and Family Planning Department of Inonu University Medical Faculty in Turkey. We examined 19 women with CPP and 25 healthy women between January 2000 and April 2000. The Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), the Spielberger Trait Anxiety Inventory (STAI), and the Golombok Rust Inventory of Sexual Satisfaction (GRISS) were used for psychological assessments. Women with CPP had significantly higher scores on the BDI and GRISS. While avoidance, dissatisfaction and non-sensuality subscale scores of the GRISS showed a positive correlation with depression and anxiety scores, the vaginismus subscale score had a positive correlation with the BAI scores. Our results indicated that there is a link between anxiety, depression and sexual dysfunction in women with chronic pelvic pain. Further studies are needed to characterize this link.

Sevoflurane as an alternative anaesthetic for electroconvulsive therapy.

Objectives: The aim of this study was to investigate the effects of sevoflurane and propofol used in electroconvulsive therapy (ECT) on hemodynamic variables and duration of seizure activity and recovery profiles. Methods: Sixteen patients who were not premedicated, with a mean age 27.1 years, were enrolled in this prospective open trial, receiving a total of 64 ECT treatments. Each patient was given the following 2 anesthetic regimens in random order: In group S, anesthesia was induced with 7% sevoflurane in 100% oxygen at 6 L min−1 fresh gas flow until the loss of consciousness and 1.5 mg kg−1 propofol in group P. Adequate muscle relaxation was achieved with suxamethonium, 1.0 - 1.2 mg kg−1. Noninvasive mean arterial pressure (MAP) and heart rate (HR) values, duration of motor seizure activity, and recovery times were recorded. Results: The mean motor seizure duration was significantly longer with sevoflurane (mean [SD]: 43.09 [16.6] s) than with propofol (28.91 [7.9] s; P < 0.05). The MAP 1 minute and 10 minutes after ECT (101.25 [7.5] mm Hg and 100.16 [11.0] mm Hg, respectively) was significantly increased compared with before ECT (94.56 [6.9] mm Hg) in sevoflurane group (P < 0.05). Time to spontaneous breathing, eye opening and obeying commands, and changes in MAP and HR during and after ECT were similar in both regimens. Conclusion: Induction with 7% sevoflurane allows prolonged duration of motor seizures in ECT. We concluded that induction of anesthesia with sevoflurane inhalation is a reasonable alternative for patients undergoing ECT.